Healthcare Provider Details

I. General information

NPI: 1295721835
Provider Name (Legal Business Name): KAREN ANN NELSON RIETZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN ANN NELSON PHD

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E COLLEGE ST STE 211
IOWA CITY IA
52240-1759
US

IV. Provider business mailing address

948 DUCK CREEK DR
IOWA CITY IA
52246-8674
US

V. Phone/Fax

Practice location:
  • Phone: 319-382-6930
  • Fax: 319-337-0686
Mailing address:
  • Phone: 319-382-6930
  • Fax: 319-337-0686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number00811
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number0811
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: